Kissing Stents for Superior Vena Cava Syndrome Due to Mediastinal Fibrosis

PURPOSE: To report the endovascular reconstruction of the superior vena cava (SVC), innominate and internal jugular veins following stenosis due to mediastinal fibrosis. CASE REPORT: A 36-year-old female with mediastinal fibrosis was referred for symptomatic SVC syndrome (SVCS). A covered stent was inserted in the SVC with 2 kissing stents in the innominate and jugular veins via anterograde right femoral vein access with sandwich technique. She exhibited near-immediate relief of debilitating symptoms. Computed tomographic scan demonstrated patent vessels at 1 year. CONCLUSIONS: Extensive endovascular venous reconstruction is an effective treatment for SVCS due to mediastinal fibrosis.